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Adenosine deaminase acting on RNA (ADAR)

Target
ADAR
Molecular classification
Enzyme, Deaminase, RNA-editing enzyme
01

Overview

Adenosine deaminase acting on RNA refers to a family of evolutionarily conserved enzymes known as ADARs that catalyze the conversion of adenosine to inosine within double-stranded regions of cellular RNAs—a process called A-to-I editing. This modification alters base-pairing properties and can recode protein-coding sequences or affect noncoding regulatory elements. In humans there are three main isoforms—ADAR1 (with p110 constitutive and p150 interferon-inducible forms), ADAR2 (constitutively expressed), and catalytically inactive ADAR3—each with distinct tissue distributions and substrate preferences. These enzymes play critical roles across diverse biological processes including nervous system development/functionality, hematopoiesis, innate immunity discrimination between self/non-self nucleic acids via MDA5 pathway modulation, apoptosis regulation through mRNA splicing/translation changes, viral persistence control via viral genome editing/mutation rates modulation—and more recently have been implicated as promising therapeutic targets for cancer immunotherapy as well as genetic/neurodevelopmental/cardiovascular disorders when dysregulated[1][3][4][5].

Other names
Double-stranded RNA-specific adenosine deaminaseAdenosine deaminases acting on RNAADAR1ADAR2ADAR3
02

Mechanism of action

Drugs or interventions targeting this molecule would typically act by inhibiting or enhancing its enzymatic activity—specifically the conversion of adenosine to inosine in double-stranded RNAs—or modulating its interaction with other proteins involved in immune signaling or microRNA processing.

03

Biological functions

Post-transcriptional gene regulation via A-to-I editing of double-stranded RNAModulation of mRNA translation by altering codonsRegulation of pre-mRNA splicing by changing splice site recognition sequencesControl of innate immune response by marking self vs. non-self dsRNA through inosine formationRegulation of microRNA processing and function
04

Disease associations

Neurological diseases (e.g., amyotrophic lateral sclerosis [ALS], epilepsy, schizophrenia)Cancer/oncogenic processesAutoimmune/inflammatory diseases (e.g., Aicardi–Goutières syndrome)Cardiovascular disease
05

Safety considerations

Potential safety concerns include off-target effects leading to widespread changes in transcriptome diversity; disruption may cause severe developmental defects or trigger inappropriate immune activation resulting in autoimmunity—as seen with loss-of-function mutations causing Aicardi–Goutières syndrome. Targeting these enzymes could also impact essential nervous system functions due to their role in neurotransmitter receptor editing.
06

Interacting drugs

There are currently no widely approved drugs that directly target ADAR enzymes in clinical use; however, research is ongoing to develop small molecules or oligonucleotide-based therapeutics that modulate their activity for various indications including cancer and genetic disorders. Some experimental compounds have been described in the literature but none are standard therapies yet.
07

Biomarkers

Altered levels or patterns of A-to-I editing at specific sites can serve as biomarkers for certain cancers, neurological conditions, autoimmune syndromes such as Aicardi–Goutières syndrome, and possibly cardiovascular risk states.

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